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Granulicatella elegans: a rare cause of infective endocarditis A Case Report

Authors:

Y. L. C. P. Perera ,

Colombo South Teaching Hospital, Kalubowila, LK
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W. D. Galagedara,

Colombo South Teaching Hospital, Kalubowila, LK
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S. P. Gunasekara,

Apeksha Hospital, Maharagama, LK
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S. Wijekoon,

University of Sri Jayawardenepura, LK
About S.
Faculty of Medical Sciences
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N. S. Chandrasiri

Colombo South Teaching Hospital, Kalubowila, LK
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Abstract

Granulicatella elegans belongs to nutritionally variant streptococci (NVS) which are found as normal microbiota of humans. It can cause infective endocarditis (IE) with a high mortality rate due to frequent treatment failure.  

 

A young male with a history of migraine presented with a short history of fever, shortness of breath and a pansystolic murmur in the mitral area. Three blood cultures were positive for Gram positive cocci in chains. With echocardiographic findings of a cardiac vegetation, a definitive diagnosis of infective endocarditis was made according to Modified Duke Criteria. The culture isolate was identified as Granulicatella elegans by the VIETK® identification system. He was treated with intravenous (IV) ceftriaxone and gentamicin with subsequent improvement.

How to Cite: Perera, Y.L.C.P., Galagedara, W.D., Gunasekara, S.P., Wijekoon, S. and Chandrasiri, N.S., 2021. Granulicatella elegans: a rare cause of infective endocarditis A Case Report. Sri Lankan Journal of Infectious Diseases, 11(2), pp.121–125. DOI: http://doi.org/10.4038/sljid.v11i2.8397
Published on 28 Oct 2021.
Peer Reviewed

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